Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.84 / $57.84 / $150.94	Professional		$57.84	$57.84	$150.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $33.93 / $33.93	Professional		$33.93	$33.93	$33.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.20 / $110.64 / $228.97	Professional		$92.20	$110.64	$228.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $148.50 / $203.49	Professional		$122.22	$148.50	$203.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $104.86 / $185.96	Professional		$45.22	$104.86	$185.96
United Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $91.94 / $192.68	Professional		$62.47	$91.94	$192.68